Organization
AIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN R SMITH PHD (PRESIDENT)
(847) 543-8378
Entity
Organization
Contact information
Practice address
100 S ATKINSON RD, SUITE 203, GRAYSLAKE, IL 60030-7817
(847) 543-8378
Mailing address
1438 THIMBLEWEED RD, GRAYSLAKE, IL 60030-3563
(847) 543-8378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
01/12/2007
Last updated
08/22/2020
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